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Enroll Your Child

Mission & Purpose

Why Get Girls Outside?

Enroll Your Child

Mission & Purpose

Why Get Girls Outside?

Enroll Your Child

Mission & Purpose

Why Get Girls Outside?

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Spring Break (Roanoke City): Monday, April 11 - Friday, April 15 (click here to enroll)

Monday, April 11, 2022 8:00 AM
Friday, April 15, 2022 4:00 PM

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UPDATE: Our Roanoke City Spring Break program is now FULL. You can still sign up to join our wait list.

Apply to participate in The Wild Way! At this time, The Wild Way is enrolling girls ages 9 to 14.

We ask that parents drop-off children at Wasena Park at 8am each morning and pick them up between 4pm and 5pm. Please note that this series includes FIVE (5) sessions at the following locations.

Locations and activities may change based on weather and group ability.

- Monday - Hiking (Cascades in Pembroke, VA)

- Tuesday - Low and high ropes courses at Camp Bethel

- Wednesday - Hiking (location TBD)

- Thursday - Caving in Covington, VA

- Friday - Outdoor skills camp at Wilderness Adventure at Eagle Landing

Participant Name *

First Name

Last Name

Participant Date of Birth *

MM

DD

YYYY

Her School and Current Grade *

What is your relation to the child? *

Parent/Guardian

Other

If "Other" please explain

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Email

Please describe your child's prior experience in the outdoors and/or engaging in physical activity. *

Can your child tread water/swim? *

Yes

No

Unsure

Can your child ride a bicycle? *

Yes

No

Unsure

What is your child's height? (Required for bike fitting.) *

Have you ever participated in The Wild Way in the past? If so, which course? *

Why would your child like to participate in this course? *

Do you know anyone else enrolled in or applying to participate in this course? If so, who?

What is your race/ethnicity? *

African American or Black

American Indian or Alaska Native

Asian American

Latinx

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

White/Caucasian

Multi-racial

Other race, ethnicity, or origin

Primary household language *

Please disclose any medical conditions that may impact your child's safety or ability to participate. (Write "None" if none apply.) *

Will your child require any medication to be administered during her participation in the program? If so, please describe the medication, dosage, and administration. (Write "None" if none apply.) *

Does your child have any environmental and/or food allergies? Please describe the allergies, their severity, and your child's reaction. (Write "None" if none apply.) *

Does your child require a special diet or have any food intolerances? (Write "None" if none apply.) *

Financial hardship should never be a barrier to enjoying the outdoors. The Wild Way provides low-cost services on a sliding scale fee. To support our program and ensure that we can continue to offer services, we ask that families who are financially-able make a contribution for their child to participate. *

We have included suggested donation amounts appropriate for this activity or course. Please indicate the amount that you'd be able to contribute. (For families facing significant financial hardship, we provide fee waivers on a case-by-case basis.) Once you are confirmed to be enrolled, we will follow-up with you for your donation.

$50

$150

$250

Request a fee waiver (provided on a case-by-base basis)

How did you find out about The Wild Way? *

Online search (Google, Yahoo, etc.)

Facebook

Instagram

E-mail marketing

School/community events (e.g. GO Fest)

Referral

Word of mouth

Thank you!

We will follow-up with you via e-mail in the next few days to confirm your enrollment and provide more information.

Indoor Climbing: Thursday, May 19 (click here to enroll)

The Wild Way
p: (540) 200-8273
e: info@thewildway.org

Donations by Mail:
The Wild Way, PO Box 8477, Roanoke, VA 24014

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